Individual provider Active NPI

Victoria Awodunmila, RN

  • Registered Nurse
  • Atlanta, GA
National Provider Identifier
1851109565
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
1018889 Issued in TX
Practice address
2563 Martin Luther King Jr Dr SW
Atlanta, GA 30311-1715
Phone
(404) 699-7774
Fax
(404) 699-7716
NPI assigned
Dec 27, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163W00000X 1018889 TX Primary

Addresses

Primary practice location

2563 Martin Luther King Jr Dr SW
Atlanta, GA 30311-1715

Mailing address

225 Astaire MNR
Fayetteville, GA 30214-5365
Phone (972) 998-1618

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
1018889TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Jcare Home Health Agency, LLC Current Accepting new patients
New Day Treatment Center LLC Single Specialty CurrentSince Dec 29, 2024 Accepting new patients

Locations

2563 Mlk Jr Dr SW
Atlanta, GA 30311
Phone (404) 246-1696

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1735257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1851109565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 ASTAIRE MNR",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302145365",
            "telephone_number": "972-998-1618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2563 MARTIN LUTHER KING JR DR SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303111715",
            "telephone_number": "404-699-7774",
            "fax_number": "404-699-7716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AWODUNMILA",
        "first_name": "VICTORIA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-27",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "1018889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.